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RANOY MII.LER
EXECUTIVE DIRECTOR
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STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE. FLORlDA 32304
NOHTAXABLE CERTIFiCATE AND RECEIPT
FOR ESTATE TAX
TQ: Chelesa Title Co
8512 S.U. S. 1
Katherine Donofrio, Per Rep
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RE: The Est~te ot Donof rio , Samuel
DECEASED 7-17-72
RESIDENT OF Fairf ield COUNTY,
STATE OF CA necticut
DATE: 3-5-g1
A 52927 PP
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection~of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seat of the State of Florida.
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